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Fri, Apr 5 2:15pm · Grade III spondylolisthesis, bilateral, ++++pain in Spine Health

@jenniferhunter I can't thank you enough for this response and the shared links. Question: Would you be able to share the name of your surgeon with me?

I have no other health issues except weight. (240). I've had a significant loss with Saxenda since November but it would surely be a concern. My bp is controlled with Twynsta. No diabetes, heart or major organ issues. Never smoked and do not drink alcohol. I do have my total work up file on PDF, including my ecg comparison as well as a disc containing mri images of my spine. There are notations in my file by the diagnosing physician (at LSI) stating the proposed surgery procedure before the final appointment with Dr Prada. I'm not sure what surgery would be advised by Mayo.

By the way, Rochester would be closest for us to travel.

I'm going to discuss our conversation with hubby on the weekend. Thank you so my for your time and energy these past couple of days. Today my pain is a raging ten…after a brief outing to the hair salon.

Fri, Apr 5 8:51am · Grade III spondylolisthesis, bilateral, ++++pain in Spine Health

@jenniferhunter I cannot thank you enough for your kind but informative reply. With all respect to Laser Spine Institute, They did their assessment thoroughly and both Dr Prada and Dr Davis (who had I believe excellent experience and training, one being from Johns Hopkins) made the decision to decline my case on evidence of my condition. Sadly it seems mismanagement and yes law suits have shut them down. As we are Canadians wintering in Treasure Island, it seemed like a great option at the time IF I could be helped. Sadly not. LSI is a moot point now except for 31 pages of investigation and assessment.

Regarding Mayo, we've always considered them in high regard. In fact many years ago my father in law was treated successfully at Mayo in Rochester for prostatic cancer. He lived well into his 90's!

At the moment here in Ontario Canada, surgery has been deemed not an option due to the natural fusion, bone spurs, arthritic changes and my age of 70 years. As I've exhausted all avenues here which include PT, aquatic therapy, medical massage, chiropractic (a total waste of time, energy, I declined after visit 4), 40, 10 mg oxycodone qid, baclofen, and now he wants to try gabapentin, which as you would know, there are horror stories detailing its horrible side effects. I inject Saxenda daily to counteract the "munchy" side effects of meds. Dehydration is always lurking so huge amounts of water have become my "party drink" of choice.

My final option is to attend a so called pain clinic in Ottawa where treatment could/would include steroid injections, epidural injections and medical marijuana (recreational and medical now legal in Canada). Injections are risky and not always successful and if they are, relief is short lived. Of course, medical professionals are hopping all over medical marijuana because it's a way to stop the flow of patients crying for help with chronic pain. We are now in the middle of the "opioid crisis" so shedule 1 meds are dispensed very carefully and it's not uncommon to be approached by someone wishing to buy your Rx at $300 per pill. It's totally outrageous.

I take oxycodone only as prescribed and feel it may take the edge off the pain. I don't know. My calf pain is so intense when standing and walking so my days include how many steps I MUST do to accomplish what MUST be done. I have a wonderful husband of 47 years who is burdened with a once active and vibrant mate who worked as a hispice chaplain over many years accompanying souls suffering with "pain". I didn't have a clue what pain really felt like. I now know nerve pain symptoms, although it's said thst visceral pain is far worse. I am inherently thankful my brain works overtime and as you can imagine I've researched this condition incessantly. Albeit, i haven't contacted Mayo.

Going forward, yes I am aware this condition will progress. Yes a fall, any type of fall will change things instantly. Yes my mobility will undoubtably decrease as my spine condition will dictate. Yes I'm worried about the impact of these meds will have on my digestive tract. I'm sure there are other unknowns which will present themselves as I age further.

I have no idea how to contact Mayo, being a Canadian. I'm understanding there are long wait times and requests for assessment can be lengthy, costly only to be denied. I apologize for this very long post, Jennifer but I'm sure you can sense a woman feelin despair. With my meagre medicali do know from working in a hospital, hospice and long term care I do know enough to comprehend the complexity of cases such as mine.

My first post was looking for support fro people with like conditions. However I'm noting most are/have tried every possible way to ease their pain. There's nothing new.

Herein lies my story, Jennifer. I'm not opposed to surgery but there are horror stories Amoy it as well. Am I afraid, yes, truly. We are not millionaires but the thought of $30000 Canadian and a hope of relief sounded very promising. I now have a disc and MRI reports for which I paid $600 Canadian. Here, we are not allowed to go to any private clinic. And if we do so, the cost of one MRI would be upwards of $2000 Canadian. My LSI MRI was included in the $600 Canadian and included did include 3 pages of description of every single thoracic, lumbar and sacral disc. Also included were xrays of both hips and pelvis c/w written reports. We know truly the option of private medical care in the US far exceeds socialized care here in Canada. I'm off topic here, but please know and tell your neighbors you do NOT want socialized medicine down there. Patients are left in the dust. Even if we can afford private care, it's not allowed here. Period.

So now my though processes are changing. Phoebe many hurdles are there to getting Mayo help@? As I said in my original post, I feel i am against a brick wall, nor emotionally as such, but trying to luv "around" this pain and loss of mobility is a real and present challenge.

If you do read this, my most humble thanks.

Wed, Apr 3 5:05pm · Grade III spondylolisthesis, bilateral, ++++pain in Spine Health

@jenniferhunter Mistake. I have a grade 3 spondy.

Wed, Apr 3 4:16pm · Grade III spondylolisthesis, bilateral, ++++pain in Spine Health

@jenniferhunter Jennifer, thank you for your response today. I live in Canada but was assessed and declined at Laser Spine Institute in Florida January 2019. (As you know they have ceased operation now). That being said Dr Prada, the top orthopaedic surgeon as well as Dr Davis, neurosurgeon did a complete assessment c/w MRI and in their opionion my case was risky as an outpatient procedure due to presence of bone spurs, nerve impingement, location of blood supply, and a natural fusion I have from a fall 30 years ago. So I have aGrade 2 spondy. They did say that bone would need to be cut to do anything and it would need to be done in a hospital setting.

Also going forward, I was lead to believe that IF surgery were attempted there would be no guarantee of reduction of pain, risk of infection and loss of bowel/bladder control, a lengthy recovery period and blood supply to my lower extremities could be compromised.

If Rhey were able to help, we'd have been happy to pay out of pocket for sure….for relief.

Sun, Mar 31 10:27pm · Chronic Pain members - Welcome, please introduce yourself in Chronic Pain

@kelseydm. Hello, I'm a 70 year old gal with severe bilateral foramenal stenosis L5S1, compression on bilateral exiting nerve root, grade 3 spondy L5S1. Surgery, injections discouraged. Now living on OXYCONTIN, baclofen neither of which take the bare edge off my pain. Severe calf and thigh pain, foot tingling, numbness grossly limit my mobility and I'm feeling like I'm losing this battle. Any and all suggestions would be carefully considered at this point

Sun, Mar 31 9:58pm · Grade III spondylolisthesis, bilateral, ++++pain in Spine Health

Woman, age 70, 11 mm grade 3 spondylolisthesis, L5S1, severe facet arthropathy L5S1, severe bilateral foramenal stenosis L5S1 and compression on bilateral exiting nerve root. Severe calf and thigh cramping, numbness toes and foot arches, no surgical option going forward. Feeling STUCK with unrelenting muscle pain, on OxyContin, baclofen (both low doses which I manage religiously). PCP doesn’t know how to help me. I’m feeling like I’m slipping emotionally.

Mon, Jan 14 3:21pm · Spinal stenosis- lumbar in Spine Health

@mamacita Your kind reply is so appreciated. I've been rather devastated by my recent assessment of spinal stenosis with nerve impingement. You have many issues to deal with it seems and your positive perspective and attitude are remarkable.

You mention Gabapentin. I've heard of its value and plan to ask my pcp to Rx when I'm back st home in Canada. I have hope it may help ease some of my pain.

Wishing you also, the very best, going forward now into 2019. And as you state wisely, Mayo has been a guiding light and source of relief for many, over the years.

Mon, Jan 14 12:27pm · Spinal stenosis- lumbar in Spine Health

@jenniferhunter You are so right, yes I a very fortunate they turned me away. Hubby and I were just discussing this very thing. We are now wondering if we should ask Mayo to review my case. Yes, at my age. I have so much more life to live, in spite of this horrible diagnosis.